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Questions 158

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Extract:


Question 1 of 5

A client with a history of a deep vein thrombosis is receiving Warfarin (Coumadin). The nurse should teach the client to avoid:

Correct Answer: A

Rationale: Green leafy vegetables are high in vitamin K, which antagonizes warfarin’s anticoagulant effect. Dairy, citrus, and high-fat foods do not significantly affect warfarin.

Question 2 of 5

A healthcare worker is referred to the nursing office with a suspected latex allergy. The first symptom of latex allergy is usually:

Correct Answer: D

Rationale: Latex allergy often first presents as localized skin reactions, such as swelling and itching of the hands, due to direct contact with latex products.

Question 3 of 5

The nurse is caring for a client with a diagnosis of postpartum depression. Which symptom is most likely to be present?

Correct Answer: A

Rationale: Postpartum depression is characterized by persistent sadness and low mood. Fever uterine tenderness and foul-smelling lochia suggest infection not depression.

Question 4 of 5

The nurse is preparing to administer a dose of penicillin to a client with a streptococcal infection. Which assessment is most important before administration?

Correct Answer: A

Rationale: Penicillin has a high risk of allergic reactions, including anaphylaxis. Assessing allergy history is critical before administration. Vital signs are monitored but are less specific to penicillin risks.

Question 5 of 5

A 15-year-old child is admitted to the pediatric unit with a diagnosis of thalassemia. Which of the following would be included in educating the mother and child as part of discharge planning?

Correct Answer: C

Rationale: Oral iron supplements are contraindicated in thalassemia. Although heart failure may be an end result of this disease, this action is unnecessary. Iron overload is a potential complication of frequent blood transfusions of children with thalassemia. Children should be encouraged to pursue activities related to their exercise tolerance.

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